Laserfiche WebLink
PHS–EHD – UNDER41 IND TANK CLOSURE/ABANDONM* INSPECTION <br />(SHADEll AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br />EH 23043 (10/89) <br />DRAW SITE MAP ON REVERSE <br />�i��li/q�(EYli7bl is <br />OWNER NAME <br />E <br />OWNER PHONE # ve <br />N CONTRACTOR CON. PHONE# <br />E <br />R I SJLHD PERMIT # wplFIRE PERMIT # <br />A / <br />L �15'L��G�UYO/ <br />INSPECTOR <br />DATE <br />TANK # 39 <br />R <br />I <br />RINSED (Y/N) <br />METHOD <br />RINSE A DUNT <br />RINSATE DISPOSAL SITE <br />N <br />S <br />E <br />MANIFEST # –OR– OTHER <br />V <br />A <br />VAPORS PURGED (Y/N) <br />METHOD <br />AMOUNT USED <br />L.E.L. READING AT REMOVAL (MUST BE ( 20%) <br />P <br />0 <br />COMMENTS <br />T <br />R <br />A <br />N <br />K <br />C <br />TANK MATERIAL (STEEL, FIBERGLASS, OTHER) <br />TANK SIZE �SD <br />/ <br />N <br />TANK CONDITION (GOOD, POOR, HOLES).g j%,_ <br />P <br />S <br />T <br />PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br />I <br />N <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />G <br />T <br />DEPTH SOIL TYPE OBSERVATION <br />SAMPLE # <br />F <br />A <br />I <br />N <br />E <br />K <br />L <br />D <br />S <br />EXCAVATION SIZE: X X <br />— — <br />YDS OF SOIL: <br />I <br />N <br />A <br />M <br />P <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />S <br />P <br />I <br />P <br />L <br />P <br />E <br />I <br />E <br />C <br />N <br />T <br />I <br />G <br />TRENCH DIMENSIONX X <br />— — <br />YDS OF SOIL <br />O <br />N <br />H <br />DEPTH TO G. FT <br />-- - <br />SAMPLING METHOD <br />0 <br /># OF HOURS SINCE DEWATERING: <br />O <br />OTHER SAMPLE: <br />LABORATORY:LF Cal c 1, f �L SAMPLERS NAME; <br />n <br />CLOSURE IN PLACE <br />MIXTURE: <br />VOLUME: <br />EH 23043 (10/89) <br />DRAW SITE MAP ON REVERSE <br />